Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.33 / $167.84 / $260.67	Facility		$71.33	$167.84	$260.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $71.33 / $151.63	Professional		$69.65	$71.33	$151.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $95.06 / $243.51 / $478.39	Facility		$95.06	$243.51	$478.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $44.20 / $111.83	Professional		$44.20	$44.20	$111.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $250.64 / $1,471.88	Facility		$47.60	$250.64	$1,471.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Professional		$47.60	$47.60	$47.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $410.40 / $79,999.20 / $79,999.20	Facility		$410.40	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.06 / $273.36 / $478.39	Facility		$95.06	$273.36	$478.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.11 / $100.65 / $111.83	Professional		$86.11	$100.65	$111.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $155.10 / $232.65 / $462.45	Facility		$155.10	$232.65	$462.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $44.20 / $44.20	Professional		$44.20	$44.20	$44.20
United Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $56.00	Professional		$46.67	$46.67	$56.00